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Fundamentals of Nursing 2nd Edition
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, FundamentalsofNursing2ndEditionYoost
Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 2nd Edition
MULTIPLECHOICE
1. Agroupofnursingstudentsarediscussingtheimpactofnonnursingtheoriesinclinicalpractice.Thestude
ntswouldbecorrectiftheychosewhichtheorytoprioritizepatientcare?
a. Erikson‘sPsychosocialTheory
b. Paul‘sCritical-ThinkingTheory
c. Maslow‘sHierarchyofNeeds
d. Rosenstock‘sHealthBeliefModel
ANS:C
Maslow‘shierarchyofneedsspecifiesthepsychologicalandphysiologicfactorsthataffecteachperson‘sphy
sicalandmentalhealth.Thenurse‘sunderstandingofthesefactorshelpswithformulatingNursingdiagnosest
hataddressthepatient‘sneedsandvaluestoprioritizecare.
Erikson‘sPsychosocialTheoryofDevelopmentandSocializationisbasedonindividuals‘interactingan
dlearningabouttheirworld.Nursesuseconceptsofdevelopmentaltheorytocriticallythinkinprovidingc
arefortheirpatientsatvariousstagesoftheirlives.Rosenstock(1974)developedthepsychologicalHealt
hBeliefModel.Themodeladdressespossiblereasonsforwhyapatientmaynotcomplywithrecommend
edhealthpromotionbehaviors.Thismodelisespeciallyusefultonursesastheyeducatepatients.
DIF: Remembering OBJ:1.5 TOP:Planning
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:Conce
pts:CareCoordination
2. Anursingstudentispreparingstudynotesfromarecentlectureinnursinghistory.Thestudentwouldcre
ditFlorenceNightingaleforwhichdefinitionofnursing?
a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityforhealth.
b. Thenurseneedstofocusoninterpersonalprocessesbetweennurseandpatient.
c. Thenurseassiststhepatientwithessentialfunctionstowardindependence.
d. Humanbeingsareinteractingincontinuousmotionasenergyfields.
ANS:A
FlorenceNightingale‘s(1860)conceptoftheenvironmentemphasizedpreventionandcleanair,water,a
ndhousing.Thistheorystatesthattheimbalancebetweenthepatientandtheenvironmentdecreasestheca
pacityforhealthanddoesnotallowforconservationofenergy.
HildegardPeplau(1952)focusedontherolesplayedbythenurseandtheinterpersonalprocessbetweenan
urseandapatient.VirginiaHendersondescribedthenurse‘sroleassubstitutive(doingfortheperson),sup
plementary(helpingtheperson),orcomplementary(workingwiththeperson),withthegoalofindepende
nceforthepatient.MarthaRogers(1970)developedtheScienceofUnitaryHumanBeings.Shestatedthat
humanbeingsandtheirenvironmentsareinteractingincontinuousmotionasinfiniteenergyfields.
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, FundamentalsofNursing2ndEditionYoost
DIF: Understanding OBJ:1.4
TOP:PlanningMSC:NCLEXClientNeedsCategory:HealthPromotionandM
aintenanceNOT:Concepts:HealthPromotion
3. ThenurseidentifieswhichnurseestablishedtheAmericanRedCrossduringtheCivilWar?
a. DorotheaDix
b. LindaRichards
c. LenaHigbee
d. ClaraBarton
ANS:D
ClaraBartonpracticednursingintheCivilWarandestablishedtheAmericanRedCross.DorotheaDixw
astheheadoftheU.S.SanitaryCommission,whichwasaforerunneroftheArmyNurseCorps.LindaRich
ardswasAmerica‘sfirsttrainednurse,graduatingfromBoston‘sWomen‘sHospitalin1873,andLenaHi
gbee,superintendentoftheU.S.NavyNurseCorps,wasawardedtheNavyCrossin1918.
DIF: Remembering OBJ:1.3
TOP:AssessmentMSC:NCLEXClientNeedsCategory:HealthPromotionandM
aintenance
NOT:Concepts:Professionalism
4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudentsandprofessio
nals.Thenursinginstructoridentifieswhichorganizationwouldbefoundtohaveaddedsafetyasasixthco
mpetency?
a. QualityandSafetyEducationforNurses(QSEN)
b. InstituteofMedicine(IOM)
c. AmericanAssociationofCollegesofNursing(AACN)
d. NationalLeagueforNursing(NLN)
ANS:A
TheInstituteofMedicinereport,HealthProfessionsEducation:ABridgetoQuality(2003),outlinesfive
corecompetencies.Theseincludepatient-centeredcare,interdisciplinaryteamwork,useofevidence-
basedmedicine,qualityimprovement,anduseofinformationtechnology.QSENaddedsafetyasasixthc
ompetency.TheEssentialsofBaccalaureateEducationforProfessionalNursingPracticeareprovideda
ndupdatedbytheAmericanAssociationofCollegesofNursing(AACN)(2008).Thedocumentoffersafr
ameworkfortheeducationofprofessionalnurseswithoutcomesforstudentstomeet.TheNationalLeagu
eforNursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,andgradu
atenursingeducationprograms.
DIF: Remembering OBJ:1.1 TOP:Planning
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:Conce
pts:CareCoordination
5. Thenursemanagerisinterviewinggraduatenursestofillexistingstaffingvacancies.Whenhiringg
raduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidered
―competent‖untiltheycompletewhichtask?
a. TheygraduateandpassNCLEX.
b. Theyhaveworked2to3years.
c. Theirlastyearofnursingschool.
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, FundamentalsofNursing2ndEditionYoost
d. Theyareactuallyhired.
ANS:B
Benner‘smodelidentifiesfivelevelsofproficiency:novice,advancedbeginner,competent,proficient,
andexpert.Thestudentnurseprogressesfromnovicetoadvancedbeginnerduringnursingschoolandatta
insthecompetentlevelafterapproximately2to3yearsofworkexperienceaftergraduation.Toobtainthe
RNcredential,apersonmustgraduatefromanapprovedschoolofnursingandpassastatelicensingexami
nationcalledtheNationalCouncilLicensureExaminationforRegisteredNurses(NCLEX-
RN)usuallytakensoonaftercompletionofanapprovednursingprogram.
DIF: Remembering OBJ:1.7 TOP:Planning
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:Conce
pts:CareCoordination
6. Theprospectivestudentisconsideringoptionsforbeginningacareerinnursing.Whichdegreewouldb
estmatchthestudent‘sdesiretoconductresearchattheuniversitylevel?
a. AssociateDegreeinNursing(ADN)
b. BachelorofScienceinNursing(BSN)
c. DoctorofNursingPractice(DNP)
d. DoctorofPhilosophyinNursing(PhD)
ANS:D
DoctoralnursingeducationcanresultinaDoctorofPhilosophy(PhD)degree.Thisdegreepreparesnurse
sforleadershiprolesinresearch,teaching,andadministrationthatareessentialtoadvancingnursingasapr
ofession.AssociateDegreeinNursing(ADN)programsusuallyareconductedinacommunitycollegeset
ting.Thenursingcurriculumfocusesonadultacuteandchronicdisease;maternal/childhealth;pediatrics
;andpsychiatric/mentalhealthnursing.ADNRNsmayreturntoschooltoearnabachelor‘sdegreeorhigh
erinanRN-to-BSNorRN-to-
MSNprogram.Bachelor‘sdegreeprogramsincludecommunityhealthandmanagementcoursesbeyon
dthoseprovidedinanassociatedegreeprogram.Anewerpractice-
focuseddoctoraldegreeistheDoctorofNursingpractice(DNP),whichconcentratesontheclinicalaspect
sofnursing.
DNPspecialtiesincludethefouradvancedpracticerolesofNP,CNS,CNM,andCRNA.
DIF: Remembering OBJ:1.9 TOP:Assessment
MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:Conce
pts:CareCoordination
7. Duringastaffmeeting,thenursemanagerannouncesthatthehospitalwillbeseekingMagnetstatus.T
oexplaintherequirementsforthisaward,thenursemanagerwillcontactwhichorganization?
a. AmericanNursesAssociation(ANA)
b. AmericanNursesCredentialingCenter(ANCC)
c. NationalLeagueforNursing(NLN)
d. JointCommission
ANS:B
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